KRISTINE NICOLE M CHI (NPI# 1386122679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386122679 |
| Entity Type | Individual |
| Full Name | KRISTINE NICOLE M CHI |
| Credential | BCBA |
| Practice Address |
3170 De La Cruz Blvd Ste 10 Santa Clara CA 95054-2436 |
| Mailing Address |
3170 De La Cruz Blvd Ste 107 Santa Clara CA 95054-2411 |
| Practice Telephone | 6692100120 |
| Mailing Telephone | 6692100120 |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103K00000X | Behavioral Analyst | 1-20-40753 | Behavioral Health & Social Service Providers | |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 39420 Liberty St Ste 150, Fremont, CA 945382284 | 5107945155 |
| Street Address |
3170 DE LA CRUZ BLVD STE 10 |
| City | SANTA CLARA |
| State | CA |
| Zip Code | 95054-2436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629621552 | Pushpa Bhandari | Behavior Technician | 3170 De Lacruz Blvd, Suite 107, Santa Clara, CA 95054 | 2019-07-19 |
| 1275001679 | Janet Johnston-tyler | Counselor | 4655 Old Ironsides Dr., Suite 170, Santa Clara, CA 95054 | 2018-11-05 |
| 1184106643 | Sunshine Acupuncture & Healthcare | Acupuncturist | 3350 Scott Blvd., #28-2, Santa Clara, CA 95054 | 2018-08-31 |
| 1538654496 | Molly Delaney | Speech-Language Pathologist | 4701 Patrick Henry Dr., Bldg 23 Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1255826111 | Jordan Moore | Speech-Language Pathologist | 4701 Patrick Henry Dr., Bldg 23, Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1073008934 | Tanya Guerrero | Speech-Language Pathologist | 4701 Patrick Henry Drive., Bldg 23, Suite D, Santa Clara, CA 95054 | 2018-06-24 |
| 1366931305 | Jacqueline Genna | Speech-Language Pathologist | 4701 Patrick Henry Drive, Bldg 23 Suite D, Santa Clara, CA 95054 | 2018-05-04 |
| 1386131886 | Angel Raynetta Stevens | Behavior Technician | 3170 Dela Cruz Blvd., Ste 107, Santa Clara, CA 95054 | 2018-04-19 |
| 1528567468 | Ledia Mati | Chiropractor | 3700 Thomas Rd Ste 207, Santa Clara, CA 95054 | 2018-02-06 |
| 1982133310 | Hien Tue Nguyen | Pharmacist | 3970 Rivermark Plaza, Santa Clara, CA 95054 | 2017-06-08 |
| Find all providers in zip 95054 | ||||
| Taxonomy Code | 103K00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Behavioral Analyst |
| A behavior analyst is qualified by at least a master’s degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans. |
| Notes: Source: Association of Professional Behavior Analysts, www.apbahome.net and Behavior Analyst Certification Board (http://www.bacb.com) [7/1/2008: new, 1/1/2016: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306328471 | Sarah Michelle Mosqueda | Behavioral Analyst | 2420 Pacific Dr Apt 23, Santa Clara, CA 95051-1490 | 2018-09-05 |
| 1376025072 | Tasha Jayakoddy | Behavioral Analyst | 1171 Homestead Rd Ste 102, Santa Clara, CA 95050-5478 | 2018-08-30 |
| 1467938431 | Yvette Garcia | Behavioral Analyst | 1171 Homestead Ave #250, Santa Clara, CA 95050 | 2018-07-12 |
| 1194217620 | Diana Urias | Behavioral Analyst | 1151 Homestead Rd Ste 250, Santa Clara, CA 95050 | 2018-05-31 |
| 1942799325 | Samanta Lugo | Behavioral Analyst | 3170 De La Cruz Blvd Ste 105&107, Santa Clara, CA 95054-2436 | 2018-05-01 |
| 1114430428 | Matthew Del Rosario | Behavioral Analyst | 3170 De La Cruz Blvd Ste 107, Santa Clara, CA 95054-2411 | 2017-11-08 |
| 1568995892 | Yu-en Huang | Behavioral Analyst | 3009 Kaiser Dr Unit H, Santa Clara, CA 95051-4734 | 2017-04-04 |
| 1770036238 | Vanessa Medel Perez | Behavioral Analyst | 2152 Tasman Dr Apt 206, Santa Clara, CA 95054-1029 | 2016-08-01 |
| 1982059473 | Beth Ann Foate | Behavioral Analyst | 3170 De La Cruz Blvd, Suite 105, Santa Clara, CA 95054-2436 | 2016-05-03 |
| 1639558406 | Megan Lindsey | Behavioral Analyst | 4701 Patrick Henry Dr Bldg 25, Santa Clara, CA 95054-1863 | 2015-05-26 |
| Find all providers in SANTA CLARA | ||||
| City | SANTA CLARA |
| Zip Code | 95054 |
Please comment or provide details below to improve the information on KRISTINE NICOLE M CHI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.